16767 SW MONTEREY LANE h,
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CIT Y OF T'VA 131-Jil I [)1NG PEA1*
RD *44� v11:::PMVT' NO. : BIL)eM190731
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COMMUNITY DEVELOPMENT DEPARTMENT
DA"11i. 1!55(JED A/
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175
.:,I:2:I.M. PM*T'.NC) . 890731
ADDRIEGiS . 11.6767 !:iW MON'T'IEPIK.'Y LN
,TAX Mopll o*1 15k)R. 10:NG t. L i L.'T* : 1:1< :
LAND tJSF*.. :
4, 2. ,Tat,
F1.41ON'T : 14 EKA 14:
WOW< (:,I A55 . ALT*I:::PA'Y'TON DWEX I_ . (JN1
Epl, :
5):[W*-;LI-'1 F*AM).L.Y NO 1.11: 1:)14(:)(:)MS : E*X'T' .WALL. (:,(JN!:;*T :
IA`rJ') I (''ITTr VN NO . DA'THS : N: C:::
11 I III ljl- , P3 PPO'Y .C)K-.N1NGU :
OVA. oP. I OAD N
TOTAL
No lYrOWIES . 1,fi;Y* : 33 P001C'-0N4i'T*: (:11
1.-11: 11,111 . t.`ND : APE''A !;iI::J-'AI;0 NO PA1 I.KD:
1:W0.1 MIENT"? NO OC11JI-N . 1.-'jfi::PAP? NO A'1,E".D
'01N:I:NH? NO W-4:'M' Y
L.OAD : G A 1:4 A E., NE, !A:)Alfl k"? NO ALARM'? 14C)
F:1,014 [W 11,::C"I"? Y E"
GAS
T'Y1' HI*.)CV` ,(-ALIVAO; '� NO NO
L'IAF: "'K ElY ,
(:)I-" NO .
LASi PI;.JSI!5(.)E.
V,1!-J4MJ, 1
W $3H .30
N I 6Y67 riW I)JA::W
r V I IILA ity C)
R 1;1 97 4?2 1-1 TRE, 01 1.11'
G'I'A I F.:' 'T'AX $1. 93
C -VI:;-IA1)PMI:::N*T C31APICaLKi :
0 w1+11 T"U, DAN
N
T 1 6 W PVM0I:)I:.'.LA".N(,., ':i D(41"I Fi'T*pl"_:E'y
R EIA.."V:WOOD
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(,503) 611. -70,16
Nil
RF..CI::JI,T, NO .
This permit Is issued subject to the regulations contained In Title 14
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and it Is hereby1::I.':*D 1:N15 l."EUT J:ON 5-
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and I"OUNDA71 ON WAI_I_ RAIN DIIAINS
ordinances The issuance of this permit does not waive restrictive L.A.AM WA11--P LJ.Nl:!;
covenants Contactor and subcontractors shall have current city
business tax permits. This permit will expire find become null and
(:_r.T'Y APPP(.',H1!-4W
void if work Is not started wIthiii 180 days,or If work is suspended or NAI_
abandoned for a period of 180 days any time after work has N . 'I'OPOLYT,
commenced. It shall be the resp nsib lity of ermittee to assure 1:061,11:11 N(*..',
all required Inspectionreq ,sled an app oved. r1(::1:::
11 r.NS U I_A VI'Ll N
LI/, 11;Y P 90APT)
P , itte,Signature
Issord By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
NC).
CITY'OF TIGARD P1
T
crnTYOFWAPtD 0 A'Y'F'. 3.5 S UE:D 4/ A/1139
T
COMMUNITY DEVELOPMENT DEPARTMENT 04100N
13125 S W Hall Blvd-P 0 Box 23397,Tigard.Oregon 97223,(503)639-4175 1:,'M'T* .NO. 890'731.
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.................................
This permit is issued subject to the regulations contained in Title 14
.......
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and Wr7 1 F44 1-Thir...'
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax pe,mite. This permit will e(pire and become n,-jll Rn 11PAIN I)PAINCI
void If work Is not started within 180 days,or if work Is suspended c "TNAL.
abandoned for a period of 180 dare any time after work hac)5?
commenced It shall be the respon iiblilty of the Permittee to assure
all quired inspections are quail led and appr d
i "Xm
P 1811U.-
Issued By % I (IN 6*.4 Aj 7!j
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
City ul' hing City
15031 Gn-4002
APDL I CA'r 1 ON FOR
PLANNING COMMISSION PERMIT
i NANEi U1 AI'PLICAN''1'tX.;G � �._7•'J
nC►I►i2l S�;a L4,. _L1[/YlL�G', ) —. —Pl1UNF NO GLU • 2t I/,/
ADDRIrSS IJF PRUPOSED IMPRUVE:MENT/0"ZV/ .JLP 'Mi'NiE�1' L/v
2. TYPE; or CIIANGF, Ifill I2(1'vl•:r1IJIT OR CON91'kUC'rirm curl WIIICII PE?RMIT
IS Ilrul�r.�; rr.u. t i►1.l;(;It 1111_. III? I EFLY/ATTAC:II 'rWU CUP I ES OF PLANS
ult L114AW 1 NGS 0V' W11Ar I r'Irur'uSE D> r �i�li 1r�'c [�/�110U/!�c iv
A1 /iV lD c.4e1 '�'/�, G//r d +[► 1+111:—E.G�'�Z .fs C J7 %
7• NAME; AND ADDRESS ill- CUNTI?AC'ruri.,�.,;,jfff )A, /.t 3
%l1LL/�'['�'U_ �i, /f'.G'lli1,N(�— c. i 1l �_ 1'ltuNE NyU.
rll' 1 GIIN11US W I I U MAY 1!L` A1--[A;C H;1) 11 Y I II I S CIIANGF.. 1 rll'NUVENI:.N r oil
(;0NS1'RUC'r I UN WILL BU. Nlrl'I r-IED 11 Y THE 1.: I 1 Y.
`.� n1 I'L.1 CANT/IJIt I11:It/III; 171.I'RE:SE:N rAT I VL HL"iT 11E PRESENT Al
PLANNING CUMM i SS I ON MCG1'1 N(;.
11r•.rlthSE:N'I'A'I'I VI:S NA11F PIIUNF NO.
the l:inf lily Plandril CORRsaslan Reels an the lest Vednesdsy mornint of every month. Applications-flied Rt�
IMI, rive Ib) days berore that vill be considered at that Reelln�.
MMNNMNNNNNNNNNNNNMNRNNNN0NNNNNNNN_0NNNRNNNNN0aNaNNNNNNNNN0NNNNNNNN
'UREF 0 I C� US[i_ ONLY —.
APPL I CAT I UN Ill•'Cl.'I VED UY_ DA 1'1; J
A1'11L I CAI1LE I�EE t2C0:1 VEL9 tIU.0l1 U I IIER 1 C►1 AL PA 10
I'I..ANN I Nl+ CUMM I SS I ON - [*CIS 1 UN r UA P.,
t)L i r_IJ—� CONDITIONS
AIlea __ _. . __ ��__... _.-----._....��aJ�'...-•-..._. -- --
pp tinn apprnvod Yee Ire arRed,to hitt ConlrNgL I ft
for sls snnths only are licensed by the Ao Iderat Aoarl
ANNNNMNRNNMNNNIINMNNANNMMMNN_NNNNNNNNNNNNNNNMNNNNNNNNNNNNNNMRNNNR
_
CITY 0E TIGARD BUILDING INSPECTION REPORT
1'114+. phovA I 1 s ted pro iect fins beers Inspected and Approved
Disapproved_—
loss too
l;ommArtt.4o
pin tu► r
rl+►►lldlnd Insp�c.tor pfpeae return one (1) Copl, to A'/of Clfyl
NSTRIICT I ONS UN REVERSE
• City of Kiny (;ily • 153OU S.W. 1 IG111 Aventle, Khiq Gily, Oreyoll 91224 0 (503) 62.0-6444 •
..n"hw'"Mpy '^"K,u",�R..'n."°'N..,+M.•w,w`u..,,raw.^.e�,w►ar""""�1'*pp'w +ea.tiv^�p...N..ws�+i.,..,..,......uw:.r..
King City CITY OR N
BUILDING PERMIT APPLICATION TIGARD DATE n� 13—, 19--
1019
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE____
NSR _'Iles F ranky Wallace ADDRESS J-t+ 7fi l ',. 1,'. MontereY
i BUILDER PHONE
�d6itsrn Wood Prod uc td ENGINEER
AU LDER ARCHITEI;T _ nESIGNER_
STRUCTURE ❑NEW REMODEL !— OADDITION — ❑9_EPAIR^- URENF.WAL ❑FIRE DAMAGE ❑DEMOLITION
D RRESIDENCE ❑COMM DUCAT IONAL ❑GOV'T LJRELIGIOUS❑PATIO OCAR PORT ❑GARAGE ElSTORAGE❑SLAB ❑FENCE
MOND _ ❑MOVING ❑CONUITIONAL-USE _0 DESIGN REVIEW ❑COUNCIL APPROVED y ❑SIGNSQCC '
UPANCY._.__._.LAND USE ZONE_ _ _BLDG.l YPE _- FIRE ZONE— PLAN CHECK BY HEAT
rl�t,ruct 61 x 1UI addition according to approve((
OCC, LOAD _ FLOOR LOAD -- HEIGHT - NO.STORIES AREA
___VALUE
_ VAl-UE
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE � RIGHT SIDE
Permit 1 %flf` — — -- -- -----
Plan rheCheck _ —_.-.`— ----_--
THIS PERMIT IS ISSUED SUBJECT TO THE REG JLATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES aND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— WORK WILL.BE DONE IN ACCORDANCE WITH Th E PLANS AND SPECIFICATIONS AND IN CO�4PLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCE!.. THE ISSUANCE OF THIS PERMIT DOE!1 NOT WAIVE
. RESTRICTIVE COVENANTS. CONTRACTOR AN') SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS P.EOUIRED FOR SEWER, PLUMBING AND HEATING.
Total •
BV
- -_-- �- APPLICANT OR AGENT --------
Approved Recewt No. J�(a(�,�
ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No,
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWA`,
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb &Street Final
Aroach
SLOG,DEPT. FINAL TEMPORARY -- Final
CERTIFICATE OCCUPANCYpp
CERT IFICATE OCCUPANCY
Landscap,F)IJ
Zoning Final